Department of Interventional Angiography, Ospedale Santa Corona, Pietra Ligure, Italia.
Diagn Interv Radiol. 2023 Jan 31;29(1):117-127. doi: 10.5152/dir.2022.211271. Epub 2023 Jan 2.
Traumatic injuries of the subclavian and axillary arteries are uncommon but have high morbidity and mortality. In contrast to penetrating injuries, which are often lethal, blunt injuries present a wide and heterogeneous spectrum of imaging findings. If a vessel tear or transsection is a life-threatening circumstance, minor injuries might be overlooked in an emergency setting but could cause or aggravate the functional loss of a limb. The aim of this pictorial essay is to acquaint radiologists with the spectrum of imaging findings that could be encountered during the radiological evaluation of the subclavian/axillary artery (SAA) in trauma patients and offer tips and tricks to improve the diagnostic workup of patients with suspected blunt SAA injuries.
锁骨下动脉和腋动脉的创伤性损伤并不常见,但发病率和死亡率很高。与通常致命的穿透性损伤不同,钝性损伤的影像学表现广泛且具有异质性。如果血管撕裂或横断是危及生命的情况,在紧急情况下可能会忽略较小的损伤,但这些损伤可能导致或加重肢体的功能丧失。本文旨在使放射科医生了解在创伤患者的锁骨下/腋动脉(SAA)放射学评估中可能遇到的影像学表现范围,并提供一些技巧和窍门,以改善疑似钝性 SAA 损伤患者的诊断。